A cross-sectional study on patient-centered care in a selected hospital in eThekwini district, KwaZulu-Natal, South Africa

Abstract

Background: Clinical healthcare reform demands high-quality patient care, especially in emergencies. Patient-centred care (PCC) prioritises therapy based on health, characteristics, and needs.

Aim: This study examines critical care nurses’ views on PCC in a hospital in eThekwini, KwaZulu-Natal.

Setting: The study was conducted at a selected tertiary care facility in eThekwini district, KwaZulu-Natal, South Africa.

Methods: This cross-sectional study examined 119 conveniently selected critical care nurses from five units treating critically ill adult patients in a central tertiary care hospital in eThekwini district, KwaZulu-Natal, South Africa. Personified patient care was measured using the Individualised Care Scale (ICS).

Results: The mean values for nurse-supported customised care ranged from 4.27 ± 0.66 to 4.44 ± 0.61. Fear and anxiety during patient discussions have the highest mean score (4.44 ± 0.61). The mean values for four personal life statements were 4.22 ± 0.72 to 4.29 ± 0.65. Hospitalisation experience was surveyed by 90.8% of people, with a mean score of 4.29 ± 0.61. Patients’ desire to understand their illness was surveyed by nurses (91.60%) with a mean score of 4.39 ± 6.39. The majority (94.9%) of nurses encouraged patients to express care preferences, whereas 85.8% were inquired about their preferred bathing time. The majority (59.70%) scored average, while 38.70% high.

Conclusion: Patient-centred care support was average among critical care nurses. Training and education in critical care should emphasise PCC. To strengthen PCC in clinical practice, execute PCC activities regularly.

Contribution: The study revealed PCC actions and indicated critical care nurses’ average support.